| NPI | 1114124187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WV 2237) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34.008825) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2010-09-28 |